Choosing Multi-systemic Therapy Services or other Family Therapy Services based upon systemic behavioral predictors. MST is an intensive family- and community-based treatment that addresses the multiple determinants of serious antisocial behavior in juvenile offenders.
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Youth is 11-17 years old
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YES
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Does the youth display at minumum 3 of these qualities:
has multiple arrests/is a chronic offender
is deeply involved with delinquent peers
is experiencing problems at school or doesn’t attend at all
abuses substances (pot, alcohol, cocaine)
youth is currently or has a recent history of being a runnaway
physical aggression in more than one setting, usually leading to legal involvment
Diagnosis of Conduct Disorder
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YES
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Youth is living at home and has at least one adult who is willing to be identified as the Primary Care Giver. PCG must be willing to participate in the program.
Program parameters:
conduct comprehensive functional assessments of youth in the context of their families, peer group, school, and neighborhood
seek to understand the “fit” between the youth’s problems and the factors which contribute to them
empower parents to address the needs of youth (i.e., structure, support) more effectively
focus on helping parents build supportive social networks in their community
emphasize long-term change that families can maintain after their involvement in MST ends
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YES
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Call an MST Provider to make the referral.
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NO
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NO
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Client is under 11 years old and has an invested primary support system
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YES
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Does the identified patient display any or all of these behaviors:
verbally aggressive or making verbal threats of harm
emotionally dysregulated
eaisly irritable
low frustration tolerance
expressing suicidal ideation frequently but no real plan or attempt
self harm
oppositional defiant behaviors
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Exclusionary Criteria
• Youth in need of crisis stabilization (suicidal, homicidal or psychotic behavior)
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YES
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If client is expirencing suicidal, homicidal ideation or psychotic symptoms-- seek immediate emergancy acute care to stablize. Once symptoms have abieted a reassessment for MST appropriateness can be arranged.
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YES
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YES
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Family Therapy, Individual Therapy (Activity or hands on based interactions)
CCSS for physical or practical concerns, building social supports and increasing access to prosocial activities.
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Exclusionary Criteria
• Youth living independently or who does not have an identified primary care giver
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Exclusionary Criteria
• Severely Autistic or other Pervasive Developmental Delay
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YES
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UNMH Department for Developmental Disablities is a good referral source to start with for families that are not already connected to a support program for PDD
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YES
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NO
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Child is under 11 and DOES NOT have an invested Primary Support System or PSS is overwhelmed with other concerns, is not stable, or is low functioning
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If under 18, and unable to return home:
Full clinical assessment and Child Protective Services involvement may be necissary to determine placement. TFC or temporary foster placements are not ideal referral situations for MST.
NOTE: If a non-related adult is willing to take responsiblity for the youth and engage in treatment for the behaviors, MST Services is able to assess the arrangement for viablity of treatment. .
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Some families who have high functioning Austistic children could benefit from MST Services. Determinates are referral behaviors and the causes of those behaviors.
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YES
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Assessment for TFC, RTC, Day Treatment, BMS, CCSS, and other community supports to increase PSS ablity to care for the client.
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MST VS Other clinical Services
